Culture Change

The culture of long-term care is undergoing profound change. Philosopher Eric Hoffer once said, “In times of profound change, the learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists.” I hope you will find something here that inspires you to either take your first step on the culture change journey, or your next one. Please contact me if you are interested in sharing your culture change experience.

On the Road to Culture Change Updates….

Parc Provence

In April 2014, University of Missouri Nursing Home Leadership Coach Dave Walker and I led a staff, resident, and family team in completing the Artifacts of Culture Change assessment at Parc Provence. Parc is a 140-resident skilled nursing home that specializes… to read more and view photos, click here: Parc Provence.

Lincoln Community Care Center (Update)

In 2011, I visited Lincoln Community Care Center (LCCC), a 66-resident skilled nursing and 14-resident assisted living home located in Lincoln. Recently, Administrator Donna Bowers invited me back to share the changes that have taken place since. I visited again in March 2015. One of the first things I noticed was… to read more and view photos, click here: Lincoln Community Care Center Update

The Missouri Coalition Celebrating Care Continuum Change (MC5)

by Sam Plaster, State Culture Change Coordinator

The Patient Protection and Affordable Care Act passed by Congress in 2010 requires that all nursing homes develop Quality Assurance and Performance Improvement (QAPI) programs, ensuring that homes continuously identify and correct quality deficiencies as well as sustain performance improvement. While the Center for Medicare & Medicaid Services (CMS) has yet to promulgate the specific regulatory requirements, many homes are already initiating or improving their QAPI processes… to read more and view photos click here: MC5.

2015 Pioneer Network Conference

This year will be the 15th annual meeting put on by Pioneer Network and can be enjoyed by all – elders, families and other consumers, providers, owners, nurses, CNAs and direct care staff, physicians, social workers, activity staff, food service staff, maintenance staff, advocates, researchers, academicians and others interested in improving the lives of elders. There are nearly 90 sessions offering the opportunity to learn about and discuss ways to change thinking, practice, policy and research. This conference is a place where people are learning, smiling, connecting and changing.

Live Stream the 2015 Pioneer Network Conference

Can’t make the 2015 Pioneer Network Conference in Chicago? Tune-in via livestream video August 3-4 for select education sessions brought to you by ChangingAging with support from Kimberly-Clark Corporation.

The livestream feed will be available FREEto the public from the Pioneer Networkwebsite. The Pioneer Network Annual Conference is the premier event of the year showcasing the latest developments in the long-term care culture change movement.

Person Centered Care Tips

Tip # 1: Where’s the Focus? Just as a “selfie” is all about YOUR SELF, Person-Centered Care is all about the PERSON! So why are we looking at Person-Centered Care? Please see the flyerherefor more information.

Tip # 2: My Life! My Choice!! As we take a “selfie” and examine ourselves, we see the things that are important and unique to us. We have a favorite color, a hairstyle we prefer, and favorite foods we love to eat. We make many choices each day that make us satisfied or happy. Please see the flyerherefor more information.

Tip # 3: Care Conferences: Developing a portrait of the person Care Conferences are the ultimate “selfie!” The conference is an opportunity to really examine the person and their preferences and needs. Please see the flyerherefor more information.

Tip # 4: Consistent Staffing Think of yourself in a new and unfamiliar situation, surrounded by unfamiliar faces. Imagine this happens almost every day. It feels like starting out in a new high school over and over again. Who are all these other people? How will I remember their names? There are so many strangers-what do they really know about me? Now, imagine you also have dementia. Please see the flyerherefor more information.

Tip # 5: The Power of Huddles: Making sure we all see the same picture As in football, a caregiver huddle gathers to briefly exchange information, share observations and develop strategy. Use huddles to pass insights about what really helps each resident feel comfortable and understood, so that all caregivers are equipped to provide the best person centered care. Please see the flyerherefor more information.

Tip # 6: Me in My New Home Just as a “selfie” is about YOU, Person-Centered Care is all about the PERSON! Think of yourself in an unfamiliar situation. Finding the bathrooms and where to get a cup of coffee or a bite to eat is likely a top priority. And by the way… who are all these people and how will I remember their names? Please see the flyerherefor more information.

Tip # 7: Don’t Call Me “Honey!” Have you listened to yourself and the words you use? Not only the words, but also the way you say them may be condescending to people. Using person-centered language is one of the essentials in changing our culture. Please see the flyerherefor more information.

Tip # 8: Please Pass the Hot Sauce Food preferences along with the way meals favored (and sometimes flavored) depend on the individual. Dining should be about more than nutrition. Please see the flyerherefor more information.

New Dining Standards Toolkit Available Now from Pioneer Network

Medical evidence from recent research studies has demonstrated that restrictive diets for elder individuals in long-term care are of little benefit, and in fact can be detrimental. Please visit www.pioneernetwork.net/Store.

Alive Inside Movie is Now Available to Purchase

Alive Inside: A Story of Music & Memory is now available on Netflix, DVD and Blu-ray! Click here for more information.

Artifacts of Culture Change Tool

There is a tool available to help you assess your home’s progress on the culture change journey. With the assistance of providers, researchers, and contractor Carmen Bowman of Edu-Catering, the Centers for Medicare & Medicaid Services (CMS) developed the Artifacts of Culture Change assessment tool. Through funding from the Commonwealth Fund, the Pioneer Network developed an interactive web-based version of the Artifacts of Culture Change for providers to input and score their data online. Use of the tool is FREE. All identifying characteristics of your home are coded and only you can monitor your home’s progress. However, you can check out the trends in homes across the country. Look at homes like yours: Under 50 residents, 50 to 100 residents, more than 100 residents, in big cities, small towns, urban or rural, profit, not-for-profit, or government ownership, Medicare-Medicaid certified and a combination of characteristics of homes just like yours. For more information please visit www.artifactsofculturechange.org/ACCTool/

On the Road…to Culture Change

Parc Provence

In April 2014, University of Missouri Nursing Home Leadership Coach Dave Walker and I led a staff, resident, and family team in completing the Artifacts of Culture Change assessment at Parc Provence. Parc is a 140-resident skilled nursing home that specializes… to read more and view photos, click here: Parc Provence.

Lincoln Community Care Center (Update)

In 2011, I visited Lincoln Community Care Center (LCCC), a 66-resident skilled nursing and 14-resident assisted living home located in Lincoln. Recently, Administrator Donna Bowers invited me back to share the changes that have taken place since. I visited again in March 2015. One of the first things I noticed was… to read more and view photos, click here: Lincoln Community Care Center Update.

Good Shepherd Nursing Home

In February 2014, I visited Good Shepherd Nursing Home and Residential Care in Lockwood. Good Shepherd includes a 69-resident Medicare/Medicaid Certified skilled nursing home and 20-resident residential care home, operated by a not-for-profit nursing home district… to read more and view photos, click here:Good Shepherd Nursing Home.

Chateau Girardeau

In February 2014, I visited Chateau Girardeau in Cape Girardeau. Chateau Girardeau is a not-for-profit Continuing Care Retirement Community that was founded by the Presbyterian Church. The 40-acre campus includes 37 individual Independent Living homes, 99 Independent … to read more and view photos, click here: Chateau Girardeau.

Rockhill Manor Assisted Living

In November 2013, I visited Rockhill Manor Assisted Living located in the historic Southmoreland District of Kansas City. Rockhill is a 190-resident home that serves individuals with chronic mental illness, including a 10-resident respite unit that provides a 30-day… to read more and view photos click here: Rockhill Manor Assisted Living.

Ravenwood – Assisted Living by Americare

In November 2013, I visited Ravenwood – Assisted Living by Americare. Ravenwood is a 55-resident home in Springfield, which includes The Arbors, a 15-resident special care home that serves individuals with dementia. They also provide adult daycare and respite… to read more and view photos click here: Ravenwood – Assisted Living by Americare.

Lake Stockton Healthcare Facility

In October 2013, I visited Lake Stockton Healthcare Facility in Stockton. Lake Stockton is a 75-resident skilled nursing home and 37-resident assisted living home. The skilled home includes an 11-resident special care unit that serves individuals with dementia… to read more and view photos click here: Lake Stockton Healthcare Facility.

To view more home visits, please select the category
“Culture Change-Home Visits” in the search by topic box located on the right-hand column of this page.

Welcome to the LTC Information Update!

Providing information and guidance for Long-Term Living Providers - Skilled Nursing, Intermediate Care, Assisted Living and Residential Care Homes. You may contact the Section for Long-Term Care Regulation (SLCR) at 573-526-8524.